| NPI | 1235600677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-47770) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: VA RBT-18-72747) |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2021-02-24 |